Efectos del Modelo de Atención Centrado en la Persona en la calidad de vida de personas con deterioro cognitivo de centros gerontológicos

Introduction

The Model of Person Centered Care has attracted increasing interest for use in gerontology centers. Therefore, the contributions about its impact are scarce in our context. The objective of this paper is to establish the impact that the interventions associated with the Model of Person Centered Care in the «Etxean Ondo» Project have on the quality of life of residents with cognitive impairment.

Material and methods

One hundred and ninetten residents with cognitive impairment were selected: 59 in the control group and 60 in the experimental group. Subjects in each group were sorted by cognitive impairment: mild or severe. Changes were implemented in the physical and organizational environments for the promotion of autonomy and wellbeing. Quality of life was assessed before and 6 months after intervention using the Fumat Scales (mild cognitive impairment) and Qualid (severe cognitive impairment). The t-Student test was used for comparison of means.

Results

In intergroup comparisons, significant differences in the Fumat Scale for the control group with mild cognitive impairment were initially identified. These differences were not recorded in the post assessment. The experimental group with severe cognitive impairment was significantly improved in the Qualid Scale post assessment. In intragroup comparisons, significant improvements were evident in the quality of life of experimental subjects, both with severe cognitive impairment (Qualid) and mild (Fumat).

Conclusions

The findings support the effectiveness of the interventions and identify methodological and conceptual issues that have been considered to analyze the Model of Person Centered Care efects.     

Yeasts isolated from nosocomial urinary infections: Antifungal susceptibility and biofilm production

BackgroundUrinary Candida infections in the hospital environment are frequent and need to be better understood.AimsTo compare the results of antifungal susceptibility profiles of yeasts isolated from patients with urinary infections obtained by broth microdilution method (BM) and by disk diffusion (DD), and also evaluate the capacity of these yeasts to form biofilms.MethodsOnly yeasts obtained from pure urine cultures with counts higher than 10⁵ colony-forming units per milliliter, without bacteria development, of symptomatic patients were included. The isolates were identified by classical methods and the antifungal susceptibility tests were performed with the following drugs: amphotericin B, ketoconazole, fluconazole, itraconazole, voriconazole and caspofungin. The biofilm studies were carried out in polystyrene microtitration plates.ResultsNinety-five yeasts isolates were analyzed, including 40 Candida albicans, 31 Candida glabrata, 24 Candida tropicalis. In general, the majority of the isolates were susceptible to the tested drugs but some resistance was observed, especially against fluconazole. Great variability in the antifungal susceptibility results was observed with the different tested drugs and a few discrepancies were observed between both methods. We suggest that in case of DD resistance this result should be confirmed by BM, the standard method. C. tropicalis isolates showed high biofilm production (91.7%) compared to C. albicans (82.5%) and C. glabrata (61.3%), with statistical significance (p = 0.0129).ConclusionsCandiduria in critical patients requires major attention and a better control. The different susceptibility results obtained in this study showed the need to identify yeasts up to the species level, especially in patients with urinary tract infection. The development of techniques of antifungal susceptibility tests can help the clinicians in the empiric treatment of candiduria.     

Whole Mount Labeling of Cilia in the Main Olfactory System of Mice

The mouse olfactory system comprises 6-10 million olfactory sensory neurons in the epithelium lining the nasal cavity. Olfactory neurons extend a single dendrite to the surface of the epithelium, ending in a structure called dendritic knob. Cilia emanate from this knob into the mucus covering the epithelial surface. The proteins of the olfactory signal transduction cascade are mainly localized in the ciliary membrane, being in direct contact with volatile substances in the environment. For a detailed understanding of olfactory signal transduction, one important aspect is the exact morphological analysis of signaling protein distribution. Using light microscopical approaches in conventional cryosections, protein localization in olfactory cilia is difficult to determine due to the density of ciliary structures. To overcome this problem, we optimized an approach for whole mount labeling of cilia, leading to improved visualization of their morphology and the distribution of signaling proteins. We demonstrate the power of this approach by comparing whole mount and conventional cryosection labeling of Kirrel2. This axon-guidance adhesion molecule is known to localize in a subset of sensory neurons and their axons in an activity-dependent manner. Whole mount cilia labeling revealed an additional and novel picture of the localization of this protein.     

Barogali et l’Oued Doure. Deux gisements représentatifs du Paléolithique ancien en République de Djibouti

In the Republic of Djibouti, surveys and excavations, carried out from 1985 to 1992, confirmed the presence of the pre-Acheulean (Oldowan) and Acheulean sites in the country. Three seasons of excavations (1985-1987 in the Gobaad Basin, have unearthed in a hardened compact clay strata of an ancient marshland dating to the Lower Pleistocene, the fossilized skeletal remains of an Elephas recki ileretensis. Numerous stone tools have been gathered with the bones. The E.S.R. dating the elephant’s lower third molar gave a date between 1,.6 and 1,.3 MY that would confirm its paleontological grouping and the membership of this butchery site to the Oldowan period. The animal appeared to have been lying on its left side. The cranial roof had been separated from the calvarium, perhaps to get at the brain; but the skull remains in anatomic connection with the tusks. The jaw (mandible) seems to have been broken to extract the tongue. Hominids, perhaps Homo ergaster, knapped tools from a nearly outcrop of poor quality lava. The tools were specifically adapted to their needs, such as scraping, chopping and scattering the bones. The site has yielded 569 artifacts: utilized material and hammerstones (121); pebble tools (32); cores (14); “debitage” products (366); retouched flakes (36). Artifacts are rarely retouched and often broken. Five different types of choppers have been classified. The polyedrons and one bola make up 22% of the pebble tools. The cores are divided into unipolar, centripetal and polyhedrical types. In another site, Haïdalo, an almost complete skeleton of an Elephas recki recki in anatomical connection and without any sign of predation, has been found at eight kilometers from Barogali. During surveys in the Ali Sabîh region (1990-1992) seven sectors have been discovered and prospected in the Oued Doure Basin. On the surface area and also in situ into some little pits, 345 rhiolitic Acheulean artifacts have been found, near rhyolitic outcrop. These artifacts are generally large. The choppers (18) can be dividended into 2 sets : side choppers (55%) and end choppers (27%), often with a bifacial cutting edge. There is only one polyedron, but we have found eight heavy scrapers. The Acheulean group is important (43 tools). The bifaces are varied and there are also a few cleavers and picks. Cores are numerous (92) and Levallois cores are preponderant (45%). We find also centripetal cores (27%) and so unipolar, bipolar and polyhedral cores. Tools made of flakes (118) are numerous: scrapers are typologically diversified. Some of them have a double utilization. Notch tools, denticulate tools are presents but also end scrapers, burin, borer, back knifes and scantily retouched flakes. The characters of this lithic material, large cores and big flakes, large bifaces of various types, cleavers and retouched flakes, indicates that they are Acheulean products. So, the Doure Site can be placed in the Middle / Upper Acheulean transition.     

Abscisic acid controls embryo growth potential and endosperm cap weakening during coffee (<Emphasis Type="Italic">Coffea arabica</Emphasis> cv. Rubi) seed germination

The mechanism and regulation of coffee seed germination were studied in Coffea arabica L. cv. Rubi. The coffee embryo grew inside the endosperm prior to radicle protrusion and abscisic acid (ABA) inhibited the increase in its pressure potential. There were two steps of endosperm cap weakening. An increase in cellulase activity coincided with the first step and an increase in endo-ent/dejrc2en77xpdt8x/xxlarge946.gif" alt="beta" align="MIDDLE" BORDER="0">-mannanase (EBM) activity with the second step. ABA inhibited the second step of endosperm cap weakening, presumably by inhibiting the activities of at least two EBM isoforms and/or, indirectly, by inhibiting the pressure force of the radicle. The increase in the activities of EBM and cellulase coincided with the decrease in the force required to puncture the endosperm and with the appearance of porosity in the cell walls as observed by low-temperature scanning electronic microscopy. Tissue printing showed that EBM activity was spatially regulated in the endosperm. Activity was initiated in the endosperm cap whereas later during germination it could also be detected in the remainder of the endosperm. Tissue printing revealed that ABA inhibited most of the EBM activity in the endosperm cap, but not in the remainder of the endosperm. ABA did not inhibit cellulase activity. There was a transient rise in ABA content in the embryo during imbibition, which was likely to be responsible for slow germination, suggesting that endogenous ABA also may control embryo growth potential and the second step of endosperm cap weakening during coffee seed germination.     

Novel 3,4-disubstituted-Neu5Ac2en derivatives as probes to investigate flexibility of the influenza virus sialidase 150-loop

Novel 3,4-disubstituted-Neu5Ac2en derivatives have been synthesised to probe the open 150-loop conformation of influenza virus sialidases. Both equatorially and axially (epi) substituted C4 amino and guanidino 3-(p-tolyl)allyl-Neu5Ac2en derivatives were prepared, via the 4-epi-hydroxy derivative. The equatorially-substituted 4-amino derivative showed low micromolar inhibition of both group-1 (pdm09 H1N1) and group-2 (pdm57 H2N2) sialidases, and provides the first in vitro evidence that a group-2 sialidase may exhibit 150-loop flexibility.     

Hettangian and Sinemurian of Baños de Alhama de Granadareference section for the West-mediterranean Hettangian (Betic Cordillera,Southern Spain)

Two Lower Liassic sections of the Banos de Alhama de Granada outcrop are studied. The Hettangian and Sinemurian ammonite assemblages are detailed and a reinterpretation of the stratigraphy of the outcrop made.The ammonites collected show a clear mediterranean character. A biostratigraphy for the Hettangian and Sinemurian can be made but the correlation with the northeuropean zonal divisions and chronostratigraphy is rather difficult. These are the only west mediterranean sections where a succession of Hettangian ammonite assemblages have been made.     

Dwellings and workspaces at Strandvägen, 5600–5000 cal. BC

This paper describes identified workspaces and the manufacture of slotted bone points at the Late Mesolithic settlement Strandvägen in Motala, in eastern central Sweden. Several dwellings were documented, Dwelling 1 being typically round-oval in shape 9 × 5.5 meters, with a floor area covering 49.5 m². Radiocarbon dates fall between approximately 5600-5200 cal BC. A combined archaeological record, with lithics and bone artefacts as well as analyses of the osteological assemblage has shown that slotted bone tools with mounted lithic inserts have been produced adjacent of the dwelling. The spatial distribution of bone flakes, microblades, processed resin and slotted artefacts testify to a clearly and delimited craft area near the shoreline of the river Motala Ström. Analyses of the finds, e.g. birch bark resin and prepared bone preforms by direct percussion, also help in reconstructing the stages of manufacturing composite projectile points in this part of Eurasia.     

Comportamiento adaptativo de las personas con limitación funcional: la adaptación funcional de la vivienda en España

Introduction

Most elderly people or those with disabilities wish to stay in their own home rather than any other residential option, even when long-term care is required. The functional adaptation of homes is one of the key factors in doing this with safety and quality of life. This paper investigates whether people with disabilities (arising mainly from their advanced age) develop adaptive behaviours aimed at compensating for their functional loss through improvements in their home and environment, as well as knowing the covariables that explain it.